Joiner's Case Summary

Suicide is a severe community health matter which can have lifelong negative consequences on individuals, families, and the society. Reduce suicidal risk factors and increase protective measures are the main objective of suicide prevention. The Center for Disease Control and Prevention (CDC) defined suicide as the “death caused by self-directed injurious behavior with intent to die as a result of the behavior; suicide attempt is “A non-fatal, self-directed, potentially injurious behavior with an intent to die as a result of the behavior; might not result in injury’; and suicidal ideation is “thinking about, considering, or planning suicide” (2015).

I chose to review Beck Scale for Suicide Ideation (BSS; Beck & Steer, 1993). The BSS was developed from Beck and Steer’s (1993) clinical rating version The SSI which is a 19-item measurement that is used to assess an individual’s traits as it relates to suicidal thoughts. The BSS is the self-report version is based on 21-items but only 19 of the items are used in scoring the test results. The test kit consists of an Administration and Scoring Manual and a Record form. The Beck Scale for Suicide Ideation is a widely used instrument to assess suicidality. Suicidal behaviors consist of but not limited to the planning for suicide, suicidal ideation (thoughts of harming or killing oneself) and/or gestures.

A male psychopath is someone who is by others as someone who holds a high standard, someone who stands above anyone else. Therefore the idea of this person committing suicide is highly unthinkable by many. A study done by Hicks and Patrick (2005) examined this connection between psychopathy and attempted suicide rates when it came to incarcerated women. From the results Hicks and Patrick determined that suicide was never an idea that would come into the mind of someone who was considered to be a “primary psychopath”, in other words, individuals that fell under the category of a true psychopath were immune to any suicide attempts because it never crossed their minds, even in the hardest of times. During their questioning

In the article written in the (Douglas County 2010) "In Douglas County between 2003-2007: The homicide rate in the black population was 6.7 per 100,000 population, slightly higher than the white population rate of 5.9.  The age group with the highest homicide rate was 30-39 year olds with a rate of 8.9 per 100,000 population. The suicide rate in Douglas County from 2003-2007 was much higher in whites with a rate of 12.9 per 100,000 compared to a rate of 4.0 for blacks." One organizational barrier is having enough program facilities and enough training of staff for the ones which we have in place. They must be able to detect potential victims and be able to recognized early those who are at risk. One way the community may decrease its suicide and murder rate according to our text (Burkholder & Nash, 2013, p.6.1) " Improving local economies and living conditions in low-income areas may also reduce the overall number of

Psychiatric and general hospitals are required to, “Conduct a risk assessment that identifies specific characteriscts of the individual served and environmental features that may increase or decrease the risk for suicide” (Joint Commission, 2010). Many psychiatric hospitals have extended their services in the last few decades to drug and alcohol rehabilitation and these admissions and their environments will now require a complete suicide risk assessment, if it has not been done so before.

The eligible applicants must have the capability to help find solutions to the research findings that denotes that the period after emergency suicide interventions is one of heightened risk for suicide, with significant numbers of deaths occurring following discharge from either an emergency department or inpatient hospitalization.

Joiner’s first component is called perceived burdensomeness, which is the view that one’s existence burdens family, friends, and/or society (Joiner, 2005). This idea produces the thought that “my death” will be worth more than my life to family, friends, society etc. In two studies of suicide notes, Joiner et al. (2002) showed that raters detected more expressions of burdensomeness in: 1) the notes of people who had died by suicide compared to the notes of those who intended to die but survived; and 2) the notes of those who died by violent means compared to the notes of those who died by less violent means. The second component is called low belonging/social alienation which is the experience that one is alienated from others, not an integral part of a family, circle of friends, or other valued group (Joiner, 2005). According to Joiner (2005), the connection between belonging (or its absence) and suicidality has been established for a number of diverse populations, including young adolescents, college students, elderly individuals, and psychiatric inpatients. Joiner (2005) says suicide rates go down during times of celebration and during hard times of hardship or tragedy. The third component is acquired ability to enact lethal self-injury which needs to be present for the desire to a suicide attempt. This aspect suggests that suicide entails a fight with self-preservation motives (Joiner, 2005). A clear implication of this is that past suicidal behavior will habituate

Knopf continued writing concerning suicide in regards to adolescents in an article entitled “How Self-Injury can lead to Suicidality in Teens: Under Study.” Her article focused on the relationship between self-injury and suicide. She stated, “While NSSI [nonsuicidal self-injury] and suicide are distinct behaviors, they frequently co-occur, so it’s important to look at factors that might contribute to the transition from NSSI to suicide.” The studies that she focused on were with non-ideators, that is, adolescents with no current suicide ideation and have not attempted suicide in their lifetimes; suicide ideators, adolescents who currently contemplated suicide but never attempted suicide; and, suicide attempters, those who currently

“Suicide is a huge, but largely preventable, public health problem, causing almost half of all violent death in the world, resulting in almost one million fatalities every year and economic costs in the billions of dollars, according to the World Health Organization” (quoted in Pompili & Lester & Innamorati & Casale & Girardi, 2009,1155). According to Kupers (quoted in Heuy & Mculty, 2005, 490) “in the United States, suicide rates among prison inmates are higher than in the general population and suicide accounts for more than half of all deaths in custody”. The “rates of suicide…within prisoner populations have generally increased over the past few decades” (Perry & Olason, 2009, 385). Unfortunately,

Mr. Gray is a 13-year-old male who presented to the ED with after an argument with his father, which resulted in him allegedly saying he wanted to die to his sister. Per documentation Mr. Gray denies any mental health history but admits to hearing voices in the past. At the time of assessment, Mr. Gray denies feeling suicidal. He states, "I never mention wanting to kill myself to anyone, I just got angry." Mr. Gray reports family conflict as the primary stressors contributing to his current distress. He reports hearing voices in the lunch room a while back, however he could not make out what was being said. Mr. Gray denies having a history of suicide attempts. Mr. Gray denies a history of child abuse, sexual trauma, and witnessing domestic

When a student answers no to question 2 (suicidal ideation), question 6 is used to evaluate past suicidal behaviour and to determine the current level of risk and any actions which may be required to increase safety. The presence of ANY suicidal behaviour (suicide attempt, interrupted (by self or others) attempt, or aborted attempt, and preparatory behaviour in the past three months indicates high risk.

Mr. White is a 38-year-old male who presented to the ED with suicidal ideation and a plan to stab himself. Mr. White stated: "I found out that I can't stay with my brother or mother." LEO brought Mr. White into the ED under IVC from DayMark. At the time of assessment, Mr. White endorses feeling suicidal with a plan. Mr. White reports family conflict as the primary stressors contributing to his current distress. Mr. White since being told by his brother this past Friday he has been hearing voicing and having suicidal thoughts. Mr. White reports having a history of multiple suicide attempts, the last one being a few years ago when he attempted to stab and hang himself. Mr. White has a history of child abuse by his grandfather. Mr. White currently

According to the case “Target is Trying to Overcome the Problem of Show-rooming”, Target is faced with developing a solution that decreases the odds of offering products in its stores that consumers can evaluate and then purchase from online competitors (Kinicki & Williams, 2013, p. 34). Target generally compromises with its suppliers to continue as a competitive force in the discount chain industry; however, Target’s traditional compromising will have to be altered to ethically compete with online retailers, such as Amazon, that have devised plans for generating profit from losses. Although Target is second in its industry, consumers’ preferences will have to be considered as the driving factor to the solution, rather than Target’s position.

Earlier efforts to quantify the lethality of suicide focused primarily on intent, self-injury, and the probability of death. Some researchers proposed that lethality was a function of a risk/rescue ratio such that higher risk of self-harm

This paper involves a particular attempt at suicide by a 15 year old boy. It exemplifies the ways in which faulty reasoning can lead to poor decision-making and maladaptive behavior, specifically adolescent attempted suicide. It examines current research on adolescent suicide attempts in relation to intellect, beliefs, shortfalls in emergent activity switching, coping styles, personality, thinking dispositions, and improper acquisition and use of tacit knowledge (Sternberg, 2002). As predicted, inappropriate manifestations of these features suggest an increased risk for poor decision-making that can increase an adolescent’s risks for attempting suicide.